Organization Active NPI

Horizon Dental Care at Steamtown

  • Dentist
  • Scranton, PA
National Provider Identifier
1326408519
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS028534 Issued in PA
Legal business name
HORIZON DENTAL CARE AT STEAMTOWN
Practice address
400 Wyoming Ave
Scranton, PA 18503-1238
Phone
(570) 342-8800
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Evanish III, DDS
Title
Owner Doctor
Phone
(570) 342-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS028534 PA Primary

Addresses

Primary practice location

400 Wyoming Ave
Scranton, PA 18503-1238

Mailing address

400 Wyoming Ave
Scranton, PA 18503-1238
Phone (570) 342-8800

National Provider Directory

National Provider Directory

Locations

400 Wyoming Ave
Scranton, PA 18503
Phone (570) 207-2283

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1326408519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031238",
            "telephone_number": "570-342-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031238",
            "telephone_number": "570-342-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON DENTAL CARE AT STEAMTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "EVANISH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "570-342-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.